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07/0112006 02: 30 2532882 fj GARNER ELECTRI[ PAGE 01106 <br /> .,'. <br /> ELECTRICAL. PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettvvagov wvvw.everettwagov/permits <br /> PROJECT ADDRESS' 4465 29db <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 2 Zb SF <br /> BUILDING TYPE: Xi SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY.#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> •..,....:.,.,,..•y,:--.,, .,....:..' • ' � .. - gyp� �yy�{, p�w,ee nn -ry <br /> • leatilitt�� �'.�� :11�1L'i '�/F.R,� �ilQRpl NSA. IiVI <br /> CONTRACT PRICE OF If4001RiC' <br /> NUIMBER OP DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable); <br /> DESCRIPTION OF WORK: ��#l�' p _ E; <br /> I•1 l _ <br /> 7" <br /> oN M. �Di17Rl,6�i: <br /> . .. . . . . .. . ... ..... ...:.. .. ....... . . . AC"N' <br /> • <br /> • <br /> OWNER NAME: •a-9." p 013firie.N TENANT NAIViP(If Commercial): <br /> r < ` ' f' t ' <br /> OWNER MAILING ADpR S: $70111'$70111' + , • �_i ... �- - _ .• -� , <br /> CITY %.,. "."..`+.r LIZ _ nTA•re i/ti l <br /> OWNER PHONE: <br /> 42s. <br /> .. 01,J OWNER EMAIL: <br /> FZA TOR NAME: c ! <br /> CONT C ��lk'f'��'�1: �"'"!t"�"� <br /> :71'F�!C`. 11\1 4 /_Le <br /> CONTRACTOR ADDRESS: ',MEET r .4 E rr( / .1 <br /> CITY ! t 1 STATE 4L1 1 ally - '- <br /> CONTRACTOR PHONE: yz.. CONTRACTOR EMAIL: r � C ) (1C,91,- <br /> CONTRACTOR <br /> ..., ..... .. <br /> r <br /> 1+• <br /> CONTRACTOR LIC.#(REQUiRFD): CITY OF EVERETT BUSINESS LIC.#RF'QUfRFD): 4:7f <br /> PRIMARY CONTACT: 0 OWNER ICONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: 2 CONTACT PHONE: 3,. <br /> e„�r�t3 �'- CONTACT EMAIL: ^ •s <br /> AGREEMENT T hereby certify that/hove read end examined this application end know the same to be true end correct, All provisions of laws end ordinances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or canoe/the provisions of any other state or <br /> lace!law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application Is made and <br /> comply with the State Contractors Law•18.27 RCW and 296,200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> P4S <br /> PERMIT ff. <br /> -.../{1116.& <br /> E - a4Owner/Authorid AgentSignatute Deii <br /> (Revised iU/12/2oi5) <br />